COMPARATIVE ANALYSIS OF IMMEDIATE RESULTS OF REOPERATIVE CORONARY ARTERY BYPASS SURGERY DEPENDING ON THE PROCEDURE OF OPERATIVE INTERVENTION

Abstract

The operations of coronary artery bypass surgery were performed in 52 patients over the period of time since June 2004 till November 2012. The age of the patients was from 46 till 77 years (on average 60,8±7,8 years). These patients were divided three groups on the basis of features of methods of coronary artery bypass surgery. The groups were matched between each other due to the initial clinic data. Acute cardiovascular insufficiency predominated in the structure of complications of the early postoperative period in 9 (17,3%) patients. These 6 (11,%) patients were operated under condition of the artificial circulation used. An average time of in-patient treatment was 13,6±5,6, 10,7±3,5 and 15,2±6,1 days of hospitalization respectively. The hospital lethality made up 3,8%. Reoperative myocardial revascularization is an effective method of treatment of recurrence of myocardial ischemia after coronary artery bypass surgery. The performance of coronary revascularization on the working heart facilitates to the reduction of the risk of the development of postoperative complications, including cardial ones and can lead to quick recovery.

Keywords

• ишемическая болезнь сердца
• рецидив ишемии миокарда
• повторное коронарное шунтирование
• ischemic coronary disease
• recurrence of myocardial ischemia
• reoperative coronary artery bypass surgery